ArticleJournal of rehabilitation medicine2026
Evolution of bowel function and quality of life after spinal cord injury: a longitudinal registry and survey study.
Article in Journal of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo assess changes in bowel function and quality of life over time in adults with spinal cord injury.
designRetrospective cohort study linking clinical registry data with patient-reported outcomes. SUBJECTS: 236 adults with spinal cord injury in Sweden; 157 had both baseline and follow-up data.
methodsData from the Swedish National Quality Registry for Rehabilitation Medicine were merged with responses from the 2024 Swedish International Spinal Cord Injury Community Survey. Bowel dysfunction was assessed using the Spinal Cord Injury Secondary Conditions Scale, Constipation Scoring System, and St. Mark's Incontinence Score. Quality of life was measured using the 3L EQ-5D questionnaire at baseline and the 5L version at follow-up, converted to a common scale. Group differences were analysed using χ2 and Mann-Whitney U tests. Logistic regression identified predictors of bowel outcomes; linear regression assessed factors associated with quality-of-life scores.
resultsAt baseline, 70% had bowel dysfunction and a mean quality-of-life score of 0.33. Bowel dysfunction was the only independent predictor of lower baseline quality of life. At follow-up, severe incontinence and high bowel burden predicted lower scores. Incomplete injury predicted improvement.
conclusionBowel dysfunction is common and closely linked to reduced quality of life after spinal cord injury. Early and sustained management is essential.
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